Organization
OSHKOSH FAMILY DENTAL LLC
Active
Parent organization
CHERRY TREE DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRY TREE DENTAL, LLC
Authorized official
OLGA GRENOVA (CONTROLLER)
(608) 215-5899
Entity
Organization
Contact information
Practice address
1815 W POINTE DR, OSHKOSH, WI 54902-4174
(608) 833-2213
Mailing address
8025 EXCELSIOR DR, MADISON, WI 53717-1900
(608) 833-2213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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